• 11 Posts
  • 3.62K Comments
Joined 2 years ago
cake
Cake day: July 9th, 2023

help-circle


  • Affordable Care Act is mostly still there, but

    • the tax penalty for choosing no coverage was struck down in court, so more people are making this choice
    • several states refused federal money to cover lower income
    • republicans re-opened the door to junk policies that don’t provide meaningful coverage

    Also the current administration is trying to

    • replace support for state Medicaid programs with block grants that can be used to squeeze the state’s, who will reduce coverage
    • repeal important features of ACA, like no refusal of treatment for pre-existing conditions, 100% coverage of routine care including immunizations

  • The bit about a tax penalty for absence of coverage is a bit much, does the government really need to kick someone when they’re down?

    This was struck down in court years ago.

    The “stick” was to encourage people to get coverage ahead of time or face the penalty. If they decided not to, the extra tax could help cover unpaid ER visits where they must be treated whether or not they can pay.

    The “carrot” At the same time was reduced price insurance based on your income and expanded Medicaid coverage for people who couldn’t afford anything. This was paid for by the federal government but Medicaid is administered by the state: several Repugnancan states refused the money because their politicians were so set against providing free medical care

    After the tax “stick” was struck down, coverage dropped without that penalty, and states where they refused the money left millions of lesser paid people without coverage . So yeah, we needed it




  • Right, this article is based on a flawed premise

    To preserve America’s financial primacy, Trump must offer the world compelling reasons to remain within the dollar-based system.

    But to all appearances Trump wants the opposite. Ending this system helps reinforce the isolationism that he seems to want, brings more control and wealth to him since everything can be based on bullying, kickbacks and deals, enables corruption, and lets Trump get short term wins. He can brag to his followers that he’s done these things, and they’ll love it.

    … the enormous soft power it currently gives us over global finances and trade, the ability to write endless debt, an era of worldwide economic stability will be gone forever. But those aren’t things he values nor can explain to his cult








  • It is though. UK birth rate is well below replacement level and immigration is not enough to make up for it.

    The math may not be obvious because that is a decrease in births now, that will become apparent in about 30 years when they would have children and previous large generations pass. You can either try to compensate now when it’s easy or wait 30 years until it’s a crisis with no way out and even if there was, it would take 30+ years